Nursing Care Plan

Nursing Cues and Scientific Goals Objective Nursing Rationale Evaluation

Diagnosis Evidences Analysis Intervention

Anxiety Subjective A vague Patient will After 3-5 ♦ introduced ♦ introducing your After 5
(Mild) cues: uneasy be able to: minutes of self self will lessen minutes of
related to feeling of nurse- the anxiety of the nursing
upcoming ♦ excessive discomfort ♦ lessen her patient patient. intervention
surgery as sweating or dread anxiety interaction. s, the
evidence accompanie Patient will patient was
by ♦ shaking if d by an ♦ relax be able to: ♦ establishing able to relax
excessive hands automatic ♦establishe rapport an and the
sweating response; ♦ lessen her d rapport develop patients anxiety was
and Objective the source anxiety trust lessen.
shaking of cues: often
hands. nonspecific ♦ relax
“.kuyawan or unknown ♦ explaining the
lagi ko to the ♦ talk to the procedure can
mam” as individual; patient and develop patient’s
vervalized a feeling of explain understanding.
by the apprehensi further the
patient. on caused procedure
by
anticipation
of danger.
It is an
altering
signal that
warns of
impending
danger and
enables the
individual
to take
measures
to deal with
threat.

(NANDA
p70)
 Nursing Cues and Scientific Goals Objective Nursing Rationale Evaluation
Diagnosis Evidences Analysis Intervention

Risk for Is a Will be able After 2 hour ♦ apply the ♦ Rules of asepsis After the
infection condition to avoid of surgery rules of is the most surgery the
related to that is infection. there will no asepsis. important patient has
on going caused by sign of technique a nurse shown no
surgery. uncertain infection should know to sign of any
bacteria will be avoid infec6tion infection.
that is not noted. in patient’s part.
good and
unusual to
the body .
 Nursing Cues and Scientific Goals Objective Nursing Rationale Evaluation
Diagnosis Evidences Analysis Intervention
Hip
Knowledge OBJECTIVE: fractures in After 1 hour After 1 hour • Review • Provides After 1 hour
deficient the elderly of nursing of nursing effects knowledge of nursing
regarding ♦ Confusio are intervention intervention of base from intervention
condition, n common s, the s, the surgical which patient s, the
prognosis, ♦ Request specially to patient will patient will procedur can make patient was
treatment, for women. A hip identify identify e and informed able to
self – care, informati fracture is a serious relationship relationship future choices. identify
and on. injury, particularly if of signs and of signs and expectat relationship
discharge ♦ Fear you're older, and symptoms symptoms ions. • Client can of signs and
needs complications can related to related to • Discuss expect to feel symptoms
related to be life-threatening. surgical surgical resumpti tired when she related to
unfamiliari Fortunately, surgery procedure procedure on of goes home surgical
ty with to repair a hip and actions and actions activity. and needs to procedure
informatio fracture is usually to deal with to deal with Encoura plan a gradual and actions
n very effective, them. them. ge light resumption of to deal with
resources. although recovery activities activities. them.
often requires time initially,
and patience. with
frequent
rest
periods
and • Strenuous
increasin activity
g intensifies
activities fatigue and
or may delay
exercise healing.
as
tolerate
d
• Identify • Facilitates
individu healing or
al tissue
restrictio regeneration
n like and helps
avoiding anemia if
heavy present.
lifting
and • Facilitate
strenuou competent
s self- care,
 activities promoting
. independence.
• Identify • Provides
dietary opportunity to
needs ask questions,
like high clear up
protein misunderstand
and ings, and
addition detect
al iron. developing
• Review complications.
incisiona
l care • Early
when recognition
appropri and treatment
ate. of developing
complications
• Stress such as
the infection or
importan hemorrhage
ce of may prevent
follow up life
care threatening
• Identify situations.
sign and
sympto
ms
requirin
g
medical
evaluati
on.